# PETER TUXEN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548466972
- **Authorized official:** PETER TUXEN MD (PRESIDENT)
- **Authorized official phone:** (949) 588-2190

## Contact information

- **Practice address:** 101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
- **Practice address phone:** (714) 446-7250
- **Practice address fax:** (714) 446-7251
- **Mailing address:** 5 HOLLAND STE 101, IRVINE, CA 92618-2568
- **Mailing address phone:** (949) 588-2190
- **Mailing address fax:** (949) 588-2199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A31039 | CA | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 08/22/2020